| NPI | 1942928064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIGISHA TANMAY SHAH Medical Director/Manager 716-601-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-09-22 |